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PRE 2010 DOCSCity of Fridley SUBJECT PERMIT NO. IN ® 29'71 AT THE TOP OF THE TWINS PERMIT r BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L r , PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-F15 5-28-75 JOB ADDRESS 7529 McKinley Street N.E, Fridley, Minnesota 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Stinson Boulevard Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russell D. Hanson, 221 - 92nd Avenue N.E., Minneapolis, Minnesota 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Harlan Luthi, Luthi Construction Co., 568 - Old Hi. 8, New Brighton, Minnesota 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING House & Garage 7 CLASS OF WORK ❑X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct House 26 x 40 x 20, Garage 28 x 24 x 10 9 CHANGE OF USE FROM TO STIPULATIONS Provide Hard Surface Driveway. Provide verifying Survey before capping. SEPMTE PERMITS :REQUIRED FOR WIRING, WARN016 W G, PLUMBING ,ANt).__(.;I(;NS. Before digging call local utilities TELEPHONE - ELECTRIC • GAS Etc. REQUIRED BY LAIN SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 1,040 6,170 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS FFSTREET PAR ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $AMM WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $34,000 $17.00 DOES NOT PRESUME TO GIVE AUTHORIT TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS 0,0 ANY OTHER STATE OprLOCAL LAW REGULATING CON. ST N 0 THE PERFORMANCE CONS TION. $51.12 325.00 PLAN CHECK FEE TOTALFEE u ;ice $393.12 SIGNATUREOF CONTRACTOR -6R AUTHORIZED AGENT (DAT) WH N PR ER THIS IS Y UR PERMIT BLDG INSP M�D may ME, 19-75 SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME :J lLI�S14 { a Tl�9i�/SD�� BUILDER ve� ADDRESS •,.X2/ &,,ee &aa 0'co, ADDRESS :'s/� r- ,.pu/ NO:. 96_02 47 STREET: LOT: BLOCK: CORNER LOT: INSIDE LOT:_ _SETBACK: SIDEYARD:V-A11 Applicant attach to this form Two Certificate.. of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Ali /z7 s Front: '94111, Depth: 11 Height: � Square Feet: 167110 Cubic Feet: v�9 Front: oZ ff Depth: ;2 / Height: / Square Feet; W/ 02- Cubic Feet: 6 / x Type of Construction: Estimated Cost: To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings. of the Department of Buildings, and:hereby declares that all the facts and representations stated in this application are true and correct. DATE: '2i �• d f sa 9 y G 9 40 = 1040 ts X s $ zo o o U q.uu. 6 K40z 1040 �,ie M= 1Z y 0 Cru s _ v12; 466 Gu Fr 11 xlow O e � ff V 4 170 O °*� , ---- 4040 z Z o UO - - 27. Z� #Nn po a vAQMAM 0r'..,t. oo 3 mak, r. v,.'� a.,.. 4,.�„,� �"�r�� �.^.+- .�. f.'9,+.... e.,,. �= ...g �, St..,n. ?,...,� e'�n..a.?" �a •;•`. ,fe�. «,� /�'` r%�.• .Y .i-..av L•✓ 1V �L'Ds u.i L' . r: L.a. _ten. wwt rwa ar a•:A/W'..ra ...J N ... l.:. b.. Y..uD _. i�2� .Y.Y ._�•. r''M.1 �tyL'WI� o M �([(i �.�,P R•/..g a '.�� m .P j^` 9 .. uL._ ' ire.rJ h'L�•�.dr YU W.+�i:vYGJ � oa'v��•��O C�i.lo �� 4.0 ::I Saa'5�.. '•iGs�,s0 PARTIAL ATE SCHEDULE GRAVITY W31-211 AIR: �;..�i'_ TOTLL. )E urnace She'l &? �c:r? X-eoA ... ... ..... .. $IO.tTJ Replacement of rLrnace 6.00 $ Repairs, & Alterations --up to $500.00 6,00 $ Repairs & Alterations each add. 1500.00 300 $ ) urmace Shell & Duct Rork to 1:.9,000 BTU ft -ch add. 60.0.0 BTU . ......... "^71acement of rurnrce & Alterations --up to $500.00 ::.:;,,airs & Alterations each add. $3-90.0 STEAL -74 or HOT Et! 1•TE1I ZY3 __:1 ..$1003 $&. i urrsce Shell & Lines—to 400 sq. ft. FDR Steam $10.00 $ F'urnace Shell Rs, Line --to &40 sq. ft. EDR Not Water 10.00 S. Each add 200 sq. ft. EDR Steam R' m $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BUItIaM—to 3 gal. per hcur over 3 gal.f per hour --See Fee Schedule GAS 3MEMfi (up to 1rr's.030 BTU) ,over M-1,000 is' U See Fsa zekodule GAS FITTING Ist 3 Fixtures Additional Ylx ures Gas Flange to 1£I,.Mo Alit A.LT— R&T7 70X3 Ik REPMW MUL &C3 g 1:® RATE 'TOT'AL X$ J. 5.00 It - 6.00 6.00 $ 3M $ i urrsce Shell & Lines—to 400 sq. ft. FDR Steam $10.00 $ F'urnace Shell Rs, Line --to &40 sq. ft. EDR Not Water 10.00 S. Each add 200 sq. ft. EDR Steam R' m $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BUItIaM—to 3 gal. per hcur over 3 gal.f per hour --See Fee Schedule GAS 3MEMfi (up to 1rr's.030 BTU) ,over M-1,000 is' U See Fsa zekodule GAS FITTING Ist 3 Fixtures Additional Ylx ures Gas Flange to 1£I,.Mo Alit A.LT— R&T7 70X3 Ik REPMW MUL &C3 g 1:® RATE 'TOT'AL X$ J. $ , . State Surcharge .50 TOTZL F°vim $T` 0 City o? Mr.1ciley: The undersigned hereby manes application for .a permit for ee work heretr• specified. agreeing to do all work in strict accordance with the City Ordizaxet an$ ruling of the Depai tment of Buildings, and hereby declares that an the fatty and representations stated in this appl;caUoon am true and correct. Fridley. A:':.-irs�` /�.C_� o�2 Is�� Owner 1L 171:'" Kind of Building Used as . ee To be completed about Estimated Cost $ Old ---New. Building Permit No: ____ permit No. D C:. :itsT 07 VTOZZ HF-1kTING or POWER PlakNTS--,Steam, Hot Water, Warm Air No ASC Trade Name ,--n r Capacity,Z,,"A.2��— Sq. ll°t. E.D.R BTUZ2xp Total Connected Load Ef d of P'ueL r`/ BURPIE_R — Trade Ila mp Size No Capacity-- Sq. Ft. EM R- I E'�ZI ]ice 3 ...3 - �3 tray Asn-ovaxD CH -j of scridloy ppliv.-iTIcn for Plumbing C d Gas a H*►: , P -C alit' Dept. of Bld„s. Phone M-3450 DESCRIPTIO24 O: WO11r- Nui:3l?ar. Kind and Locrlion of Fimt-urea Lotaii Futuze C* oC•..:D Opomin%6 a Xew Fixture. Old Oponirrs PARTIAL RATE SCHEDULE So -war Cc=pool PLUMBING FIXTURE RATES:�NO. RATE TOTAL � CR- $2.00 `� • �� Number Fixtures ..............• . Number � x S Future Fixture Ol,cning ........... x $1.50 $ _. New Fixture Old OpPning.....: • • • • WATt4 Mr R. GAS tl[C. -- Ease x $3.25 $ Water Healer 'Up to 99.000 B7'U1. • • • x 53.00 $ !� - � � �• New Ground Run Old Bldg. d x $3.25 $ Electric Water Heater...... ........ z $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL 1 st cp- x $2.00 I 1st 3 Fixtures ............ • • • • • Addltional Fixtures ......... x $ .75 $ Gas Range to 159.000 BTU ........... x $5.00 b 2rd 1. 1 —� 3:d F= Futuze C* oC•..:D Opomin%6 a Xew Fixture. Old Oponirrs PARTIAL RATE SCHEDULE So -war Cc=pool PLUMBING FIXTURE RATES:�NO. RATE TOTAL � CR- $2.00 `� • �� Number Fixtures ..............• . Number � x S Future Fixture Ol,cning ........... x $1.50 $ _. New Fixture Old OpPning.....: • • • • x $1.50 Catch Basin .................... x $3.25 $ Water Healer 'Up to 99.000 B7'U1. • • • x 53.00 $ !� - � � �• New Ground Run Old Bldg. x $3.25 $ Electric Water Heater...... ........ z $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL � x $2.00 ; 0 1st 3 Fixtures ............ • • • • • Addltional Fixtures ......... x $ .75 $ Gas Range to 159.000 BTU ........... x $5.00 b City of Fridley: C s The undersigned hereby makes application for a permit for the- work herel specified, a..recing to do all work M strict accordance with the City C:dirancs and ruling of the Department cf liuiid:ngs, and hereby declares that all the fact and representations stated in this app' canon are true tnd correct 1:Fridley, Minn � Owner Kind of Building Used ash To be completed about - Estimated Cost, $ Old--A'ew. Building Permit NO.P—amit No. ROUGH FINAL /0 - Z• - 7 S P.LPAAIRS.� ALTERATIONS—Rafes to Cod. .50 State Surcharge - Descziptton........................................ TOTAL FEE:+' ��-: �-- - 560-3450 Cit eJ o f rQdlecJ ANOKA COUNTY 6431 UNIVERSITY AVENUE NE December 12, 1975 FRIDLEY, MINNESOTA 55432 Harlan Luthi Construction Co. 568 old Highway 8 New Brighton, Mn. 55112 Re: Final Inspection at 7529 McKinley Street N.E. Dear Sirs: A final inspection was made on December 12, 1975 of the above address. The following items were noted and must be completed before the construction can be finaled out; 1. Install handrail on stairway from garage to basement. 2. Install nuts and washers on all anchor bolts. 3. Install joist hangers on all unsupported floor joists in stairwell. joint where hearth meets the fireplace wall on 4. Repair crack in masonry upstairs fireplace. 5. Reduce spacing on patio deck guardrail to 9 inches maximum. 6. Install joist hanger on outside joist on patio deck. We will expect items 1, 2, 3, and 4 to be completed by January16, 1se 1976, and items 5 and 6 to be completed by thne litems6by theany appointed dates, please will. prevent you from completing ese contact us. Reinspection will be conducted on or about the appointed dates to determine compliance. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh CC: Mr. Russell Hanson City of Fridley SUBJECT ;,may - 2 3, 0 8 � AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 11/10/94 JOB ADDRESS 7529 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Stinson Blvd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russell Hanson 7529 McKinley Street NE 784-4503 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D W Alexander Construction 1335 Barclay St, St Paul MN 55106 771-5214 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ja REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,650 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL AW REGULATING CON- $39.00 Fire SC $1.65 ERFOR OF CON UCTION PLAN CHECK FEE TOTAL FEE XCTA/-Z License SC $5.00 1 $46.48 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT 8 SP -ice GATE _1/ SIGNATURE OF OWNER IIF OWNER BUILDERI iDATEi NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z Building Permit Application ConstructionAddress: Effective 1/1/94 -�--q 617 Legal Description: R , Owner Name &Address: Tel. # Contractor:, 2 to MN LICENSE # 2 Address: 3 j Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ _ o Approx. Completion Date: `(1, n e--(? L� (Cost on Back) s' Driveway Curb Cut Width Needed: Ft. + d # = t $ = $ s DATE: I ( / APPLICANT: ;''z�- Tel. # Permit Fee $ —39 60 Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcha*ge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ '416. 'V8 ONLY Fee Schedule on Reverse Side ..001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION.AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 30.00.• $ $10.00 $10.00 $10.00 Cl *Air Conditioning — All Siz s $ 25.00 J G- c.", G7 f/lC� Others ep(airs & Alte on ( ST BACK) 1% of Value of Appliance or Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE Effective On August 1, 1995 JOB ADDRESS % %i ��� -ex The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING COMPANY OWNER r y,,q Signed By Tel No. S S 7 BUILDING USED AS /1 ESTIMATED COST, y L PERMIT NO. e DESCRIPTION OF FUR(JACE AND OR BURNER No. ofHeating Un Circle One (Steam) (Hot Water) (Warm AIF) Trader.Name Size No. BTU HP EDR Fuel . Total Connected Load .50 Burner Trade Name Size No. BTU' ' HP EDR HEATING COMPANY 64 Signed By Tel No. S S 7 Approved By /C� Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: HEATING CO: Signed By: Date: KI+Vr c.c �5�,�� ��1 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) -6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: HEATING CO: Signed By: Date: KI+Vr c.c �5�,�� ��1 01 sua�EtrIT NO. City of Fridley 30435 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. /�� r PROTECTIVE INSPECTION SEC. `Z NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 1 910-F15 10/25/99 JOB ADDRESS 7529 McKinley Street NE 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 5 1 Stinson Boulevard Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russell Hanson 784-4503 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City Exteriors Co Inc 9060 Zachary Ln N Ma le Grove 5536 425-4737 2535 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION MK REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside house and garage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6800 $3.40 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE $6.80 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STR THE PERFORMANCE OF CONSTRUCTION $139.25 Fi SC PLAN CHECK FE TOT EE 2� vc� 97 Lice n S 5 4.45 E OFCONRACT RAUTHORIZED AGENT (DATE, EN R V LID E MIS IS YOUR P MIT OF OWNER„F OWNER BUILDER, IDATEI BL ,NSP OAiE 01 NOW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2� BUILDING PERMIT APPLICATION O ConstructionAddress: 7�2j �CMJA),L!S7-- % Legal Description: i Owner Name & Address: Contractor: TWIN CITY EXTERIORS CO. , INC. Address: 9060 ZACHARY LANE N MAPLE GROVE, MN 55369 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Tel. # MN LICENSE # 2535 Tel. # 612-425-4737 Attach to this application, a Certificate of .Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Len th Width Height Length Widths Hgt/Ground �75.1)L Driveway Curb Cut Width Needed: Ft. + 6 Ft = el Estimated Cost: $ (oCS06 (Fee Schedule on Back) Ft x $ = $ Sq. Ft. Sq. Ft. Sq. Ft. DATE: ZS oc-r gy APPLICANT: Tel. # 612-425-4737 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 6,!9C) .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: